Inadvertent left aorto-coronary dissection following percutaneous coronary intervention treated successfully by bail-out left main coronary artery stenting

Srinivas C. Badnur; Chamrajnagar Mahadevappa Nagesh; Soumya Patra; Babu Reddy; Cholenahally Nanjappa Manjunath

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Abstract

Journal of Cardiovascular Disease Research,2013,4,2,84-86.

DOI:10.1016/j.jcdr.2013.03.004

Published:June 2013

Type:Short Communication

Authors:

Author(s) affiliations:

Srinivas C. Badnur, Chamrajnagar Mahadevappa Nagesh, Soumya Patra^*, Babu Reddy, Cholenahally Nanjappa Manjunath

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore 560069, Karnataka, India

Abstract:

Left main coronary artery (LMCA) dissection occurs very rarely following percutaneous coronary intervention (PCI). It caused major consequences with no flow in coronary artery and requires immediate surgical or percutaneous intervention. We are reporting a case of 42-year-male patient who presented with effort angina. Coronary angiogram revealed significant stenosis in left anterior descending (LAD) and left circumflex (LCX) coronary artery. During removal of angioplasty balloon and guide wire after successfully stenting in LAD and balloon angioplasty in LCX, guiding catheter induced dissection of LMCA was happened. Subsequently, LMCA was stented; kissing balloon dilatation was done at carina & TIMI III flow re-established.

Keywords:Aorto-coronary dissection, Coronary angiogram, Left main coronary artery, Percutaneous coronary intervention